Hello!  Welcome to the Nationals entry form.
If you're here, I guess that means you're pretty strong, eh!
Let's start
 
let's get some of the basics out of the way.

 
First name? *

 
Last name? *

 
phone number *

include area code
 
home address *

include:  house #, street name, city, province, postal code
 
Date of birth?

 
What province are you competing for? *

 
What was your qualifying total? *

Answer in kilos.  If you're planning on registering for multiple events, put all qualifying totals in the answer.
 
What was the date that you achieved that total? *

 
next, we're going to find out what events you'll be competing in.

Single Powerelifting Event:  $195 
Single Bench Only Event:  $115
Each additional event: $35
 
are you planning to compete in extra events? (more than one) *

For example, some people might choose to compete in both classic or equipped, or bench-only and powerlifting, or a combination.
     
 
Cool, 1 event!

 
Which event are you registering for? *


 
AGE CLASS? *


 
CATEGORY? *


 
Cool.  sounds like it will be a busy week for you!  Let's find out some more details.

 
How many extra events will you compete in?

Extra events can include: classic-bench only, equipped-bench only, classic powerlifting, equipped powerlifting

 
{{answer_oyeqCbvcQ9HP}}, 2 total.  awesome!  we're going to register for these 2 events separately.

 
WHAT'S THE FIRST EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE SECOND EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
{{answer_oyeqCbvcQ9HP}}, 3 total.  awesome!  we're going to register for these 3 events separately.

 
WHAT'S THE FIRST EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE SECOND EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE THIRD EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
{{answer_oyeqCbvcQ9HP}}, 4 total. awesome!  we're going to register for these 4 events separately.

 
WHAT'S THE FIRST EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE SECOND EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE THIRD EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
WHAT'S THE FOURTH EVENT? *


 
AGE CLASS? *


 
CATEGORY? *


 
meet t-shirts, they're going to be great.

Exact colors tbd.
 
what size are you? *

unisex sizing

 
Do you want to get an extra t-shirt?

meet shirts will not be sold at the venue.  this is your only chance to get an extra shirt.

 
what size do you want for the extra shirt?

unisex sizing

 
Did you hear?  There will be workshops throughout the week of competition.

There will be three daily workshops that are led by some of the most experienced and knowledgeable athletes and coaches in powerlifting.
 
Come to lift.  stay to learn.

For a full list of topics and workshop schedule, visit: 
http://www.cpunationals2018.com/workshops.html
 
how much learning do you want?


 
release of liability, waiver of claims, assumption of risks and indemnity agreement. 

by accepting this form you give up important legal rights including the right to sue.  please read carefully. *

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DISCLAIMER CLAUSE:

The International Powerlifting Federation, the Canadian Powerlifting Union, the Alberta Powerlifting Union, Grey Eagle Casino and Event Centre., Meet Directors, and Sponsors, their officers, directors, agents, contractors, employees, coaches/instructors, trainers, volunteers, members and representatives, and the manufacturers and distributors of the equipment used in the 2018 CPU National Powerlifting and Bench Press Championships (“the competition”), February 18 - 25, 2018 (all hereafter collectively referred to as “the Releasees”), are not responsible for any injury, loss or damage of any kind sustained by any person while registered and/or participating in any and all of the competitions’ sanctioned activities, events, practice sessions or social activities (all hereafter collectively referred to as “the Competition Activities”), including injury, loss or damage which might be caused by the negligence of the Releasees.  

DESCRIPTION OF RISKS:  

In consideration of participation in the Competition Activities, I acknowledge that I am aware of the possible risks, dangers and hazards associated with being a participant, including the possible risk of severe or fatal injury to myself or others.  These risks include by are not limited to:   (a)   All manner of injuries resulted in muscular injuries and soft tissue injuries including bruises, scrapes, cuts, etc., from executing strenuous and demanding physical techniques, contact with other participants and failure in proper use of equipment either by myself or other participants;   (b)   All manner of injuries resulting in sprains, dislocations, concussion and broken bones, heart attack/stroke, spinal injury and tendonitis;   (c)    All manner of head, facial, eye and/or dental injuries;   (d)   All manner of medical problems resulting from heat exhaustion, asthma, communicable diseases, skin rashes, cramps and chemical poisoning;   (e)   That my risk of injury increases as I become fatigued   (f)    All manner of injuries and/or death that could result from a physical confrontation whether caused by myself or someone else or from any participation in the Competition Activities, including but not limited to falling weights and/or equipment used in the Competition Activities   (g)   All manner of negligent advice regarding powerlifting, bench pressing or other Competition Activities          

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND IDEMINITY AGREEMENT  

1.      In consideration of Alberta Powerlifting Union allowing me to participate in the 2018 CPU National Powerliftng and Bench Press Championships, I agree, for myself, heirs, executors, administrators, and assigns to waive and release any and all rights and claims for damages I may have against the International Powerlifting Federation, the Canadian Powerlifting Union, the Alberta Powerlifting Union, Grey Eagle Resort and Event Centre, Meet Directors, and Sponsors, their officers, directors, agents, contractors, employees, coaches/instructors, trainers, volunteers, members and representatives, and the manufacturers and distributors of the equipment used in the 2018 CPU National Powerlifting and Bench Press Championships (collectively the “Releasees”). In particular, I agree:   a.      TO ASSUME AND ACCEPT ALL RISKS arising out of, associated with or related to my participating in the 2018 CPU National Powerlifting and Bench Press Championships;   b.      TO RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer as a result of my participation in the 2018 CPU National and Bench Press Championships, due to any cause whatsoever, including breach of contract, breach of any Statutory or Other Duty of Care, including any Duty of Care Owed under the Occupiers’ Liability Act, RSA 1980 C. 0‐3 (as amended) on the part of the Releasees;   c.      TO HOLD HARMLESS AND INDEMNITY THE RELEASEES: (i) from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my participation in the 2018 CPU National Powerlifting and Bench Press Championships; (ii) from any and all claims, demands, actions and costs which might arise out of my participating in the 2018 CPU National Powerlifting and Bench Press Championships.   2.      I acknowledge that Powerlifting is a high risk sport and that I could be injured.   3.      I certify that I am in good physical health and that I have no serious health problems and that I assume full responsibility for such conditions.   4.      I agree that I am fully responsible for my well-being and safety in the warm up room, on the lifting platform and while I am competing at this event.   5.      I agree that I am responsible for the actions of any coach and entourage that attend this contest in my support.   6.      In the event I am disqualified from this contest by means of rule infractions or due to my conduct I acknowledge and agree that I will not be eligible for reimbursement of contest entry fees.  

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators and representatives.
     
 
Megan Bryanton, phd, will be taking video footage of the lifting at the 2018 cpu national championships.  she will be studying the videos using sophisticated bio-mechanical software in order to understand human movement related to powerlifting technique. *

I, {{answer_VDogQJylNYg1}} {{answer_OZRJWTFx6kQL}}, have consented that digital video taken of me at the 2018 Canadian Powerlifting Union National Championships (Calgary, AB) may be used as part of a research study protocol.   I hereby grant permission to use digital videos taken of me for educational purposes of teaching and presentation.   I understand that, for purposes of teaching and presentation, my confidentiality will be maintained and when the study is presented or published, personal information that can be used to indentify me will not be included.   I understand that I am free to refuse to participate, or to withdraw from the study at any time, without consequence, and that my information will be withdrawn at my request.
     
 
Your total entry to nationals is {{var_price}} *

order summary: 
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Notes:
single powerlifting event $195
Single Bench Press Event $115
EXTRA EVENTS:  Each Extra Event is $35/event
Banquet ticket included

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


well {{answer_VDogQJylNYg1}}, it's final.  You're officially part of the 2018 cpu national Championships!

want 25% off pics and videos of your lifting?  lvd media is offering discounts if you book before the entry deadline.  No coupon code required.
take me to lvd media
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